NEW FOCUS ON NARCISSISM OFFERS ANALYSTS INSIGHT INTO GRANDIOSITY AND
EMPTINESS By MAYA PINES AMERICAN psychoanalysts believe they are finding new ways to treat a large and possibly growing group of patients whose problems used to seem nearly insoluble to traditional analysis: the joyless men and women who cannot love anyone, but spend their lives desperately seeking admiration to counteract their feelings of inner emptiness. These people suffer from what is now being called a ''narcissistic personality disorder,'' which paradoxically involves self-hatred as well as self-love. They have a grandiose sense of self-importance or uniqueness, and react with rage or deep humiliation when their superiority is not recognized. The syndrome is being diagnosed with increasing frequency by analysts and other therapists. It is said to have its roots in the earliest years of life (even before the Oedipal conflict, which is a central part of Freudian theory) and therefore to require unusual approaches to therapy. By understanding it better, many analysts believe they are developing a powerful framework for dealing with a kind of unhappiness that, for reasons as yet unclear, seems especially prevalent today.